干旱区生态环境知识资源中心(Arid): What are the factors that may predict the severity of perineal tears in obstetric anal sphincter injuries and how are their outcomes? A 10-year retrospective analysis in a Southeast Asian population

Arid

DOI	10.1007/s00192-022-05164-y
	What are the factors that may predict the severity of perineal tears in obstetric anal sphincter injuries and how are their outcomes? A 10-year retrospective analysis in a Southeast Asian population
	Tan, Albert Chao Chiet; Yusoff, Faridah Binti Mohd; Bin Salleh, Mohd Fairudzi Afzanizam; Chua, Ai Chen
通讯作者	Tan, ACC
来源期刊	INTERNATIONAL UROGYNECOLOGY JOURNAL
ISSN	0937-3462
EISSN	1433-3023
出版年	2022
卷号	33 期号:6 页码:1667-1674
英文摘要	Introduction and hypothesis Obstetric anal sphincter injuries (OASIS) complicate around 1-2% of deliveries in low- and middle-income countries. Asians are twice more likely to suffer this complication. The 3c and 4th-degree perineal tears that involve the internal anal sphincter muscle and the anal mucosa have been reported to have a poorer outcome and higher risk of recurrence compared to less severe tears. Methodology A retrospective 10-year analysis of third- and fourth-degree perineal tears in a tertiary centre was conducted. The maternal, neonatal factors and their respective outcomes after the repair of an OASI were examined and compared between minor (3a and 3b perineal tears) and major anal sphincter tears (3c and 4th-degree perineal tears). Results Five hundred twenty patients with OASIS were included into the study. Birthweight >= 3.5 kg was significantly associated with having a major anal sphincter tear in this study population, OR 1.91 (95% CI 1.21-3.02), p = 0.006. There was no significant difference in having faecal or flatus incontinence after the repair; however, major anal sphincter tears appeared to be more complicated to repair compared to minor anal sphincter tears, requiring involvement of the consultant, p < 0.001. Conclusion Neonatal birthweight >= 3.5 kg was the most significant factor in predicting the severity of OASIS in this study population. After appropriate repair, the rates of reported complications appeared similar between the two groups. However, significantly more expertise and resources were required for the repair of higher degree OASIS.
英文关键词	OASIS Asian Birthweight Major anal sphincter tear Minor anal sphincter tear
类型	Article
语种	英语
收录类别	SCI-E
WOS记录号	WOS:000784069000002
WOS关键词	RISK-FACTORS
WOS类目	Obstetrics & Gynecology ; Urology & Nephrology
WOS研究方向	Obstetrics & Gynecology ; Urology & Nephrology
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/393218
推荐引用方式 GB/T 7714	Tan, Albert Chao Chiet,Yusoff, Faridah Binti Mohd,Bin Salleh, Mohd Fairudzi Afzanizam,et al. What are the factors that may predict the severity of perineal tears in obstetric anal sphincter injuries and how are their outcomes? A 10-year retrospective analysis in a Southeast Asian population[J],2022,33(6):1667-1674.
APA	Tan, Albert Chao Chiet,Yusoff, Faridah Binti Mohd,Bin Salleh, Mohd Fairudzi Afzanizam,&Chua, Ai Chen.(2022).What are the factors that may predict the severity of perineal tears in obstetric anal sphincter injuries and how are their outcomes? A 10-year retrospective analysis in a Southeast Asian population.INTERNATIONAL UROGYNECOLOGY JOURNAL,33(6),1667-1674.
MLA	Tan, Albert Chao Chiet,et al."What are the factors that may predict the severity of perineal tears in obstetric anal sphincter injuries and how are their outcomes? A 10-year retrospective analysis in a Southeast Asian population".INTERNATIONAL UROGYNECOLOGY JOURNAL 33.6(2022):1667-1674.